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| Mayank Gupta,Rajendra Kumar Arya,Satish Kumar,Vijay Kumar Jain,Skand Sinha,Ananta Kumar Naik.[J].Chin J Traumatol,2016,19(4):209-212. [doi] |
| Comparative study of multiple cancellous screws versus sliding hip screws in femoral neck fractures of young adults |
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| DOI： |
| KeyWord: Femoral neck fracturesBone screwsYoung adult |
| FundProject: |
| Author Name | Affiliation | | Mayank Gupta | Department of Orthopedics, Post Graduate Institute of Medical Education and Research, Dr Ram Manohar Lohia Hospital, New Delhi 110001, India | | Rajendra Kumar Arya | Department of Orthopedics, Post Graduate Institute of Medical Education and Research, Dr Ram Manohar Lohia Hospital, New Delhi 110001, India | | Satish Kumar | Department of Orthopedics, Post Graduate Institute of Medical Education and Research, Dr Ram Manohar Lohia Hospital, New Delhi 110001, India | | Vijay Kumar Jain | Department of Orthopedics, Post Graduate Institute of Medical Education and Research, Dr Ram Manohar Lohia Hospital, New Delhi 110001, India | | Skand Sinha | Department of Orthopedics, Post Graduate Institute of Medical Education and Research, Dr Ram Manohar Lohia Hospital, New Delhi 110001, India | | Ananta Kumar Naik | Department of Orthopedics, Post Graduate Institute of Medical Education and Research, Dr Ram Manohar Lohia Hospital, New Delhi 110001, India |
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| Abstract: |
| Purpose: Both cannulated cancellous screw (CCS) and sliding hip screw (SHS) are used in femoral neck
fracture fixations, but which is superior is yet to be determined. This study was aimed to compare the clinicoradiological outcome of femoral neck fracture treated with SHS or CCS in young adults.
Methods: Adults (16-60 years) with femoral neck fracture were divided into Group 1 fixed with SHS and
Group 2 fixed with three CCS after closed reduction. Pain relief, functional recovery and postoperative radiographs at 6 weeks, 3 months, 6 months and then yearly for upto 4 years were analyzed.
Results: Group 1 (n=40) achieved radiological union at mean of 7.6 months, with the union rate of 87.5% (n=35), avascular necrosis (AVN) rate of 7.5% (n=3) and mean Harris Hip Score (HHS) of 86.15 at the end of 4 years. In Group 2 (n=45) these parameters were union at 7.1 months, union rate of 82.22%
(n=37), AVN rate of 6.67% (n=3) and HHS of 88.65. Comparative results were statistically insignificant.
Conclusion: There is no significant difference in clinicoradiological outcome between the two implants. |
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